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[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[S. 3951 Introduced in Senate (IS)]

<DOC>

118th CONGRESS
  2d Session
                                S. 3951

    To amend title XVIII of the Social Security Act to provide for 
  adjustments to the Medicare part D cost-sharing reductions for low-
                          income individuals.

_______________________________________________________________________

                   IN THE SENATE OF THE UNITED STATES

                             March 14, 2024

   Mr. Casey introduced the following bill; which was read twice and 
                  referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL

 
    To amend title XVIII of the Social Security Act to provide for 
  adjustments to the Medicare part D cost-sharing reductions for low-
                          income individuals.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Cutting Copays Act''.

SEC. 2. ADJUSTMENTS TO MEDICARE PART D COST-SHARING REDUCTIONS FOR LOW-
              INCOME INDIVIDUALS.

    Section 1860D-14(a) of the Social Security Act (42 U.S.C. 1395w-
114(a)) is amended--
            (1) in paragraph (1)(D)(ii), by striking ``that does not 
        exceed $1 for'' and all that follows through the period at the 
        end and inserting ``that does not exceed--
                                    ``(I) for a plan year before 2026--
                                            ``(aa) for a generic drug 
                                        or a preferred drug that is a 
                                        multiple source drug (as 
                                        defined in section 
                                        1927(k)(7)(A)(i)), $1 or, if 
                                        less, the copayment amount 
                                        applicable to an individual 
                                        under clause (iii); and
                                            ``(bb) for any other drug, 
                                        $3 or, if less, the copayment 
                                        amount applicable to an 
                                        individual under clause (iii); 
                                        and
                                    ``(II) for plan year 2026 and each 
                                subsequent plan year--
                                            ``(aa) for a generic drug, 
                                        $0;
                                            ``(bb) for a preferred drug 
                                        that is a multiple source drug 
                                        (as defined in section 
                                        1927(k)(7)(A)(i)), the dollar 
                                        amount applied under this 
                                        clause for such a drug for the 
                                        preceding year, increased by 
                                        the annual percentage increase 
                                        in the consumer price index 
                                        (all items; U.S. city average) 
                                        as of September of such 
                                        preceding year, or, if less, 
                                        the copayment amount applicable 
                                        to an individual under clause 
                                        (iii); and
                                            ``(cc) for a drug not 
                                        described in either item (aa) 
                                        or (bb), the dollar amount 
                                        applied under this clause for 
                                        such a drug for the preceding 
                                        year, increased in the manner 
                                        specified in item (bb), or, if 
                                        less, the copayment amount 
                                        applicable to an individual 
                                        under clause (iii).
                        Any amount established under item (bb) or (cc) 
                        of subclause (II), that is based on an increase 
                        of $1 or $3, that is not a multiple of 5 cents 
                        or 10 cents, respectively, shall be rounded to 
                        the nearest multiple of 5 cents or 10 cents, 
                        respectively.''; and
            (2) in paragraph (4)(A)(ii), by inserting ``(before 2026)'' 
        after ``a subsequent year''.
                                 <all>
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